Medicare Eligibility Upcoming Release 12/8/2018

CMS has announced several upcoming changes to the Medicare eligibility response. The release is scheduled for 12/8 and the system won’t be available from 7:00 am to 7:00 pm Saturday as they complete this release. I’ve listed a summary of the changes below but the complete release notes can be found here.

Medicare Advantage and Medicare Part D responses will begin returning the plan name if the plan benefit package (PBP) number is available. The PBP is the 3 digit code returned after the MCO/Part D contract number (H number).